| Licensee Name: | CENTRAL COAST RESPIRATORY & MEDICAL SUPPLY |
| License Type: | Sanitizer |
| License Number: | 100396 |
| Registry Number: | CA 30059 |
| Expiration Date: | June 30, 1997 |
| Issue Date: | June 30, 1989 |
| Address: | 191 SOUTH OAK PARK BLVD |
| City: | ARROYO GRANDE |
| State: | CA |
| Zip: | 93420 |
| County: | SAN LUIS OBISPO |
| Actions: | No |